Provider Demographics
NPI:1073378386
Name:DELUXE HOME CARE CORPORATION
Entity Type:Organization
Organization Name:DELUXE HOME CARE CORPORATION
Other - Org Name:DELUXE HOME CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:RYABOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-938-0378
Mailing Address - Street 1:106 BLUE JAY CT
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3406
Mailing Address - Country:US
Mailing Address - Phone:718-938-0378
Mailing Address - Fax:
Practice Address - Street 1:222 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6427
Practice Address - Country:US
Practice Address - Phone:718-938-0378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health